They are all very personable, knowledgeable in what is required, and how to accomplish it.&nbsp; And they perform their assignments with ease and a high degree of professionalism. They work well together as a team and seem to anticipate your needs and are well prepared at all times. - Anonymous

I normally do not look forward to a visit at a doctor’s office or even to call to make an appointment. With this staff, I arrive with normal blood pressure and enjoy talking with the staff members. - Anonymous

I did notice in your OpEd or Ad in the Breeze a few months ago, you failed to mention the importance of a quality staff when describing the advantages of a Concierge Practice. An oversight, I am sure, that will be corrected in future articles. This excellent staff is very important to your achieving your goals of providing excellent health care. - Anonymous

Health Updates

Are you familiar with the condition known as gastroesophageal reflux disorder (GERD)? Colloquially known as acid reflux, this condition is common in adults, characterized by the rise of stomach acid up through the esophagus to the throat. Ideally, stomach acid should not go up; when that happens, the patient will encounter symptoms like heartburn, among others.

While it may seem like a health issue for adults, infants and children may also experience GERD. These are the common symptoms that these younger GERD patients encounter:

Recurring coughing or vomiting

Loss of appetite or eating trouble

Belly pain, gas or heartburn

Most infants suffering from GERD are healthy. The problem, however, lies in their digestive system, which is still developing and may likely encounter the disorder. But by the time they reach their first year, infants generally grow out of the condition.

In toddlers and young children, GERD usually arises when the muscular valve that acts as a gateway that connects the esophagus and stomach relaxes. In some cases, the condition is caused when there is a buildup of pressure along this muscular valve.

Pediatric GERD is diagnosed based on the symptoms and the childs medical history. These tests may include:

Barium Swallow: It is an X-ray test that examines the upper gastrointestinal series. The patient will be asked to drink a substance that, when viewed on an X-ray machine, will highlight the digestive tract, from the esophagus to the stomach and down to the small intestine.

pH Probe: A long, thin tube with a probe on its tip will be inserted into the patients mouth and down to the esophagus. This method is used to ascertain the stomach acid levels.

Upper GI Endoscopy: A lighted tube with a camera at its end will be inserted into the patients mouth to examine the esophagus, stomach and small intestine.